Oil Order Form
* If you wish your tank to be filled please write "fill tank" in the special instructions and enter an Estimated number of litres in the OIL QTY REQ box
TITLE:
FIRST NAME:
SURNAME:
HOUSE/NUMBER:
STREET:
TOWN/VILLAGE:
POSTCODE:
PHONE NO:
EMAIL:
ORDER DATE:
MINIMUM ORDER 500 Litres
OIL QTY REQ:
*(min 500 litres)
SPECIAL: INSTRUCTIONS
TANK LOCATION:
I confirm I am a current member of Burford Oil Syndicate.
I agree to the terms and conditions of Burford Oil Syndicate listed on the membership application form to place this order on the lowest price supplier.
To validate form: Answer the following question
What is the opposite of hot?
Thursday
19th October
2017
Deadline
5.00pm